Referred pain from a myofascial trigger point mimicking pain of endodontic origin

The trigger points (TrPs) related to chronic low back pain that mimic sciatica have been lately recognized and included in the International Classification of Diseases, 11th Revision. This study examined the MATLAB software utility for the objective stratification of low back pain patients using the Minimally Invasive Procedure (MIP). The two diagnostic MIP parameters were: average temperature (ΔTavr) and autonomic referred pain (AURP). Chronic sciatica patients with TrPs (n = 20) and without TrPs (n = 20) were examined using the MIP. A significant increase in both parameters was confirmed for the thigh ROI of the TrP-positive patients, with ΔTavr being the leading parameter (p = 0.016, Exp(β) = 2.603). A continued significance of both parameters was confirmed from 6′00″ to 15′30″ (p < 0.05). The maximum AURP value was confirmed at 13′30″ (p < 0.05) (TrPs(+) 20.4 ± 19.9% vs. TrPs(-) 3.77 ± 9.14%; p = 0.000; CI (0.347,0.348)).

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Reliability of the pressure meter as an objective measure 180 slide of myofascial trigger point pain sensitivity

Pain ◽

10.1016/0304-3959(84)90313-0 ◽

1984 ◽

Vol 18 ◽

pp. S124 ◽

Cited By ~ 2

Author(s):

B. Jaeger ◽

J. L. Reeves ◽

S. B. Graff-Radford ◽

A. A. Fisher

Keyword(s):

Pain Sensitivity ◽

Trigger Point ◽

Objective Measure ◽

Myofascial Trigger Point ◽

Pressure Meter

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Effects of Spray and Stretch on Postneedling Soreness and Sensitivity After Dry Needling of a Latent Myofascial Trigger Point

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2014.05.021 ◽

2014 ◽

Vol 95 (10) ◽

pp. 1925-1932.e1 ◽

Cited By ~ 23

Author(s):

Aitor Martín-Pintado Zugasti ◽

Ángel L. Rodríguez-Fernández ◽

Francisco García-Muro ◽

Almudena López-López ◽

Orlando Mayoral ◽

...

Keyword(s):

Trigger Point ◽

Myofascial Trigger Point ◽

Dry Needling

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Myofascial Trigger Point Therapy

Fascia, Function, and Medical Applications ◽

10.1201/9780429203350-15 ◽

2020 ◽

pp. 203-211

Author(s):

Richard Finn

Keyword(s):

Trigger Point ◽

Myofascial Trigger Point ◽

Trigger Point Therapy

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DRY NEEDLING SEBAGAI TERAPI NYERI MIOFASIAL SERVIKAL

Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia ◽

10.52386/neurona.v37i4.177 ◽

2020 ◽

Vol 37 (4) ◽

Author(s):

Hanik Badriyah Hidayat ◽

Annisa Oktavianti

Keyword(s):

Trigger Point ◽

Trigger Points ◽

Myofascial Trigger Point ◽

Dry Needling ◽

Myofascial Trigger Points

Nyeri miofasial servikal (NMS) merupakan sumber nyeri umum pada individu dengan nyeri leher kronik nonspesifik. Nyeri dapat bersifat lokal, regional dan dapat juga memiliki banyak titik pemicu nyeri (myofascial trigger points/MTrPs). NMS menyebabkan nyeri di daerah otot servikal maupun fasia di sekitarnya. Nyeri leher menurunkan kualitas hidup, menurunkan produktivitas dan menyebabkan disabilitas sehingga berpengaruh secara sosioekonomi terhadap penderita dan masyarakat.Pengobatan sindrom nyeri miofasial servikal masih belum memuaskan terkait kronisitasnya. Dry needling (DN) adalah salah satu pilihan terapi nonfarmakologi yang bisa diterapkan pada NMS. DN akan mengurangi sensitisasi perifer dan sentral dengan menghilangkan sumber nosisepsi perifer (area MTrPs), memodulasi aktifitas kornu dorsalis dan mengaktifkan jalur inhibisi nyeri sentral.Neurolog sering menangani kasus NMS dan perkembangan DN akhir-akhir ini semakin pesat sebagai manajemen nyeri. Namun, keefektifan terapi DN masih belum jelas. Oleh karena itu, pengetahuan tentang peran DN pada NMS ini penting untuk diketahui oleh para neurolog. Artikel kami akan membahas tentang peran DN pada sindrom nyeri miofasial servikal.Kata kunci: Dry needling, nyeri miofasial servikal, terapi, myofascial trigger point

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EFFECTIVENESS OF ISCHEMIC COMPRESSION ON TRIGGER POINTS FOR REDUCTION OF PAIN AND SPASM OF TRAPEZIUS MUSCLE

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.7.1/002 ◽

2018 ◽

Vol 7 (1) ◽

pp. 21-27

Author(s):

Mubarra Rao ◽

Sadia Shafaq

Keyword(s):

Trigger Point ◽

Trapezius Muscle ◽

Trigger Points ◽

Ultrasound Therapy ◽

Myofascial Trigger Point ◽

Myofascial Trigger Points ◽

Reduction Of Pain ◽

Group A ◽

Group B ◽

Hot Pack

Myofascial trigger point is a hyperirritable nodule present in a palpable taut band of skeletal muscle, often results from muscle injury or repetitive strain that cause pain and tightness. Myofascial trigger points are one of the most common causes of chronic neck pain. This study aims to determine the efficacy of ischemic compression in comparison with myofascial stretching on trigger points of trapezius muscle for reduction of pain and spasm. Randomized Control Trial. The study was conducted in Ziauddin Hospital. 96 participants were enrolled in the study. Participants were divided into two groups equally and randomly, Group (A) an intervention group treated with hot pack, ultrasound therapy and ischemic compression, Group (B) a control group treated with hot pack, ultrasound therapy and myofascial stretching. This regime was followed thrice a week for three weeks. Statistically significant (P < 0.05) changes in the values were found in Group A and Group B for Visual Analog scale and Penn spasm frequency scale post treatment. The results showed that there is significant difference found after both interventions for the treatment of pain and spasm caused by myofascial trigger point. It cannot be said that ischemic compression is more effective than myofascial stretching for the treatment of myofascial trigger points of trapezius muscle.

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